ArticlePediatric pulmonology2022
Insurance coverage and respiratory morbidities in bronchopulmonary dysplasia.
Article in Pediatric pulmonology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 9 citations in OpenAlex.
- The evolving pathophysiology of bronchopulmonary dysplasia.Physiological reviews · 2026Review
- Bronchopulmonary Dysplasia Definitions As Predictors of Early Childhood Pulmonary Function.Pediatric pulmonology · 2025Article
- Outpatient Respiratory Outcomes in Extremely Preterm Children During the First 3 Years of Life.Pediatric pulmonology · 2025Article
- Social determinants of health and somatic growth in preterm infants and children with chronic lung disease.Pediatric pulmonology · 2024Article
- Socioeconomic status and outpatient follow-up in children with bronchopulmonary dysplasia.Pediatric pulmonology · 2023Article
- Insurance coverage and respiratory morbidities in bronchopulmonary dysplasia.Pediatric pulmonology · 2022Article
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Authors and funding
22 authors at 16 institutions in 1 country.
Funding
Abstract
introductionPreterm infants and young children with bronchopulmonary dysplasia (BPD) are at increased risk for acute care utilization and chronic respiratory symptoms during early life. Identifying risk factors for respiratory morbidities in the outpatient setting could decrease the burden of care. We hypothesized that public insurance coverage was associated with higher acute care usage and respiratory symptoms in preterm infants and children with BPD after initial neonatal intensive care unit (NICU) discharge.
methodsSubjects were recruited from BPD clinics at 10 tertiary care centers in the United States between 2018 and 2021. Demographics and clinical characteristics were obtained through chart review. Surveys for clinical outcomes were administered to caregivers.
resultsOf the 470 subjects included in this study, 249 (53.0%) received employer-based insurance coverage and 221 (47.0%) received Medicaid as sole coverage at least once between 0 and 3 years of age. The Medicaid group was twice as likely to have sick visits (adjusted odd ratio [OR]: 2.06; p = 0.009) and emergency department visits (aOR: 2.09; p = 0.028), and three times more likely to be admitted for respiratory reasons (aOR: 3.04; p = 0.001) than those in the employer-based group. Additionally, those in the Medicaid group were more likely to have nighttime respiratory symptoms (aOR: 2.62; p = 0.004).
conclusionsChildren with BPD who received Medicaid coverage were more likely to utilize acute care and have nighttime respiratory symptoms during the first 3 years of life. More comprehensive studies are needed to determine whether the use of Medicaid represents a barrier to accessing care, lower socioeconomic status, and/or a proxy for detrimental environmental exposures.
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